MEDICARE: SCOTT EUBANKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	682	AR

General Provider Information

NPI Number	:	1770337529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT EUBANKS

Provider Business Mailing Address
First Line	:	110 DYER ST
Second Line	:
City	:	MOUNTAIN HOME
State	:	AR
Zip	:	72653-3514
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 DYER ST
Second Line	:
City	:	MOUNTAIN HOME
State	:	AR
Zip	:	72653-3514
Country	:	US
Telephone Number	:	870-424-4266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	04/16/2024

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Directions to “ SCOTT EUBANKS ” Practice Location

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